{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA HARRIS","gend":1,"add":"9709 VA CENTERWAY PL","city":"GLEN ALLEN","state":"VA","zip":230599999,"dob":"1957-10-03","age":"","mstatus":"","insh":11000424,"cliId":"6HW7N11AH42","pno":8047291101,"cno":"","email":"","ename":"","eno":"","pphy":"COOK, ANDREW D","ppno":8049554814,"pcpadd":"9709 VA CENTERWAY PL","pcpcity":"GLEN ALLEN","pcpstate":"VA","pcpzip":230599999,"pcpcounty":"HENRICO","pcpid":"P0060032","pcpname":"BROOK RUN FAMILY PHYSICIANS"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["R39.81","Z99.3","M79.1","L22","M84.473A","J44.1","M06.89","Z96.649","Z00.00","M10.9","I10","Z13.820","Z78.0","Z12.11","Z68.41","G89.29","M25.511","M25.512","M96.1","M16.0","M24.671","T84.098D","F33.1","Z01.419","R87.5","Z12.31","M85.89","M85.80","M75.101","X58.XXXA","M65.811","M19.011","S46.211A","E11.9","J45.909","M06.9","S43.401A","R19.7","R05","F41.9","Z23","M75.121","M75.51","M75.21","L29.9","R09.81","M79.671","M79.661","M79.662","E66.01","R53.83","D64.9","M79.89","E55.9","E87.5","R31.9","R39.89","R31.29","E78.1","M81.0","Z96.642","M25.60","Z02.89","R06.2","M25.551","R26.2","Z68.39","M79.604","M79.605","M16.11","Z98.890","M75.102","M85.611","M25.411","S72.01","M62.81","M79.7","M54.5","Z68.37","M25.50","R60.0","B37.2","B37.3","Z51.81","Z79.891","Z79.899","E78.5","M13.0","R26.9","R29.6","R06.09","V89.2XXS","Z90.710","Z90.722","Z90.79","R69","R53.1","M17.0","F32.9","E66.9","Z91.81","Z74.1","S90.822A"],"date":["2020-02-04","2020-02-04","2018-09-29","2020-02-04","2019-02-24","2019-08-11","2019-08-11","2019-08-11","2019-01-15","2019-02-20","2019-11-17","2019-02-05","2019-02-05","2019-01-15","2020-02-26","2020-02-26","2019-07-01","2019-07-01","2019-07-01","2019-07-01","2019-07-01","2019-01-31","2020-02-20","2018-02-02","2018-02-02","2019-02-05","2019-02-05","2019-02-05","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2019-02-20","2018-02-22","2018-02-22","2018-10-19","2018-05-15","2019-02-28","2019-02-28","2019-02-28","2018-03-30","2018-03-30","2019-07-01","2018-06-05","2018-06-05","2018-09-11","2018-04-23","2018-04-23","2018-10-18","2018-04-26","2018-04-26","2018-04-26","2018-04-26","2018-04-26","2018-09-11","2019-09-03","2018-05-15","2018-05-15","2019-05-17","2019-05-17","2020-03-11","2019-05-22","2018-05-24","2018-08-15","2018-08-15","2019-07-01","2019-07-01","2018-07-03","2018-07-03","2018-07-03","2018-07-05","2019-09-03","2019-09-03","2019-08-08","2018-07-05","2018-07-05","2018-09-11","2018-08-15","2018-08-15","2020-01-28","2020-01-28","2018-08-24","2018-08-29","2019-09-03","2019-09-03","2019-09-03","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2018-09-11","2020-02-01","2018-10-19","2018-10-19","2018-10-19","2018-10-19","2018-10-19","2020-03-01","2019-11-17"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}